Evaluation Plan

National Center for Chronic Disease Prevention and Health Promotion: Work Plans, Progress Monitoring, and Evaluation Reporting

Documents and Forms

Document Name Document Type
Form 0920-24BG Evaluation Plan Form
0920-24BG Evaluation Work Plan Template Evaluation Plan Template DCPC CCC revised for Generic ICR attachment 10 10 2023.docx Form
0920-24BG Evaluation Work Plan Template Evaluation Plan Template DCPC CCC revised for Generic ICR attachment 10 10 2023.docx Form

Information Collection (IC) Details

IC Title:	Evaluation Plan	Agency IC Tracking Number:	0920-24BG

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-24BG	Evaluation Work Plan Template	Evaluation Plan Template DCPC CCC revised for Generic ICR attachment 10 10 2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 66	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	396	396
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.